Table 4

Mean annual costs* of IDSR strategy in comparison to all disease surveillance† systems in Burkina Faso, Mali, and Eritrea

Country

Health structure level

All health-related surveillance

IDSR

IDSR as % of all health-related surveillance

Burkina Faso¶

Region

137,566

(18,231)

35,899

(4,746)

26.1

(5.51)

District

51,296

(4,388)

10,790

(1,714)

21.0

(2.40)

Primary

5,196

(965)

1,240

(161)

23.9

(2.92)

Mali

Region

111,584

(23,116)

39,573

(8,977)

35.5

(2.62)

District

51,354

(27,864)

13,941

(5,892)

27.1

(2.91)

Primary health care center

5,851

(1,699)

1,181

(780)

20.2

(7.90)

Eritrea

Province

205,333

(29,914)

69,920

(24,386)

34.1

(9.4)

District

28,220

(4 411)

11,985

(2547)

42.5

(2.8)

*All costs were converted to 2002 US dollar equivalent. Values in parenthesis are standard deviation from the means (2002 – 2005) of 4 health regions, 14 districts and 20 primary health care centers in Burkina Faso, 3 regions, 3 districts and 3 primary health care centers in Mali, and 1 province and 1 district in Eritrea.

† All health-related surveillance involves all communicable and non-communicable diseases and health risk factors, including the IDSR targeted diseases and conditions listed in Additional file 1, appendix 1.

¶In Burkina Faso, total costs included costs extrapolated from the average per capita costs of laboratory and treatment costs for Eritrea and Mali (see Table 2). Without the laboratory and treatment costs, the mean annual all disease surveillance and IDSR program costs were 54,327 and 18,476, 31,147 and 6,594, and 4,316 and 1,056 per region, district, and primary health care center level, respectively.

Somda et al. Cost Effectiveness and Resource Allocation 2009 7:1   doi:10.1186/1478-7547-7-1